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目的 探讨胃癌术后复发再次手术切除的适应证及疗效。方法 回顾 1990年至2 0 0 0年间的 5 6例复发胃癌再次手术资料 ,就手术适应证、手术方法及并发症等进行分析。结果 2 5例切除癌肿块 ,切除率 44 .6% ,10例联合脏器切除。无手术死亡 ,术后症状改善。结论 提高胃癌手术的根治度是预防复发的根本措施 ,不失时机对所有怀疑复发者行剖腹探查是提高复发癌切除率的关键。
Objective To investigate the indications and curative effect of resectable resection of gastric cancer after operation. Methods Retrospective data of 56 cases of recurrent gastric cancer between 1990 and 2000 were retrospectively analyzed, including surgical indications, surgical methods and complications. Results Twenty-five resected cancerous masses were resected, with a resection rate of 44.6% and 10 cases of resected organ. No operative death, postoperative symptoms improved. Conclusion To improve the cure rate of gastric cancer is the fundamental measure to prevent recurrence. It is the key to improve the rate of recurred cancer after laparotomy for all patients with suspected recurrence.